2025 CPT code 82436
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Laboratory - Chemistry Procedures Pathology and Laboratory Procedures > Chemistry Procedures Feed
Quantitative measurement of chloride in a urine specimen.
Modifiers may be used depending on the place of service, type of service, and other clinical factors. Refer to the most updated CPT and payer-specific guidelines.
Medical necessity for urine chloride testing is established when there is clinical suspicion of electrolyte imbalances, renal dysfunction, or adrenal gland disorders.The test helps assess the body's ability to regulate fluids and electrolytes.Documentation should clearly support the clinical indication for the test.
Clinical laboratory personnel are responsible for performing the test and reporting the results to the ordering physician. The physician interprets the results in the context of the patient's clinical presentation and orders further tests as needed.
In simple words: This lab test measures the amount of chloride in your urine. Chloride is a mineral that helps balance fluids and acids in your body. The test helps doctors diagnose problems with your kidneys, adrenal glands, or electrolyte balance.
This CPT code, 82436, represents the quantitative measurement of chloride in a urine sample.The analysis typically involves a 24-hour urine collection, although a random sample may suffice depending on clinical context. Common methods include ion-selective electrodemetry, which measures the electrical potential generated by the chloride ion to determine its concentration.This test is frequently ordered to evaluate electrolyte balance, acid-base disorders, and conditions affecting the adrenal glands or kidneys.
Example 1: A patient presents with symptoms suggestive of adrenal insufficiency.The physician orders a 24-hour urine chloride test to assess adrenal gland function., A patient with suspected kidney disease undergoes a comprehensive metabolic panel, including a urine chloride test to evaluate renal function and electrolyte balance., A patient experiences unexplained muscle weakness and cramping. Urine chloride testing is ordered to rule out electrolyte abnormalities contributing to the symptoms.
The following documentation is required for accurate coding and billing:
** Specific reference ranges for urine chloride vary based on the method used and the patient's age, sex, and dietary intake.Always consult the laboratory's reference range for interpretation of results.
- Revenue Code: T1H (LAB TESTS - OTHER (NON-MEDICARE FEE SCHEDULE))
- RVU: The RVUs for this code vary based on location, payer, and facility type.Consult the relevant fee schedule for accurate values.
- Global Days: Not applicable. This is a laboratory test, not a surgical procedure.
- Payment Status: Active
- Modifier TC rule: Not applicable to this laboratory test.
- Fee Schedule: Fee schedules for this code vary by payer and location.Historical fee data can be accessed through various commercial databases.
- Place of Service:Office, Hospital (Inpatient/Outpatient), Laboratory